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Harald Schmidt [22]Harald-Edwin Schmidt [1]Harald H. H. W. Schmidt [1]
  1.  78
    Vaccine Rationing and the Urgency of Social Justice in the Covid-19 Response.Harald Schmidt - 2020 - Hastings Center Report 50 (3):46-49.
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  2.  22
    Rationing, Racism and Justice: Advancing the Debate Around ‘Colourblind’ COVID-19 Ventilator Allocation.Harald Schmidt, Dorothy E. Roberts & Nwamaka D. Eneanya - 2022 - Journal of Medical Ethics 48 (2):126-130.
    Withholding or withdrawing life-saving ventilators can become necessary when resources are insufficient. In the USA, such rationing has unique social justice dimensions. Structural elements of dominant allocation frameworks simultaneously advantage white communities, and disadvantage Black communities—who already experience a disproportionate burden of COVID-19-related job losses, hospitalisations and mortality. Using the example of New Jersey’s Crisis Standard of Care policy, we describe how dominant rationing guidance compounds for many Black patients prior unfair structural disadvantage, chiefly due to the way creatinine and (...)
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  3.  6
    US Adults’ Preferences for Race-Based and Place-Based Prioritisation for COVID-19 Vaccines.Harald Schmidt, Sonia Jawaid Shaikh, Emily Sadecki & Sarah Gollust - 2022 - Journal of Medical Ethics 48 (7):497-500.
    Implementing equity principles in resource allocation is challenging. In one approach, some US states implemented race-based prioritisation of COVID-19 vaccines in response to vast racial inequities in COVID-19 outcomes, while others used place-based allocation. In a nationally representative survey of n=2067 US residents, fielded in mid-April 2021, we explored the public acceptability of race-based prioritisation compared with place-based prioritisation, by offering vaccines to harder hit zip codes before residents of other zip codes. We found that in general, a majority of (...)
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  4.  42
    Carrots, Sticks, and Health Care Reform — Problems with Wellness Incentives.Harald Schmidt, Kristin Voigt & Daniel Wikler - 2010 - New England Journal of Medicine 362:e3.
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  5.  18
    Personal Responsibility for Health: Conceptual Clarity, and Fairness in Policy and Practice.Harald Schmidt - 2019 - Journal of Medical Ethics 45 (10):648-649.
    Rebecca Brown and Julian Savulescu1 focus on individuals’ responsibility regarding health-related behaviours. They rightly argue that paying attention to diachronic and dyadic aspects of responsibility can further illuminate the highly multifaceted concept of personal responsibility for health. Their point of departure is a pragmatic one. They note that personal responsibility ‘is highly intuitive, [that] responsibility practices are a commonplace feature of almost all areas of human life and interpersonal relationship [and that] the pervasiveness of this concept [suggest] the improbability of (...)
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  6. How Anonymous is 'Anonymous'? Some Suggestions Towards a Coherent Universal Coding System for Genetic Samples.Harald Schmidt & Shawneequa Callier - 2012 - Journal of Medical Ethics 38 (5):304-309.
    So-called ‘anonymous’ tissue samples are widely used in research. Because they lack externally identifying information, they are viewed as useful in reconciling conflicts between the control, privacy and confidentiality interests of those from whom the samples originated and the public (or commercial) interest in carrying out research, as reflected in ‘consent or anonymise’ policies. High level guidance documents suggest that withdrawal of consent and samples and the provision of feedback are impossible in the case of anonymous samples. In view of (...)
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  7.  8
    Remote Monitoring of Medication Adherence and Patient and Industry Responsibilities in a Learning Health System.Junhewk Kim, Austin Connor Kassels, Nathaniel Isaac Costin & Harald Schmidt - 2020 - Journal of Medical Ethics 46 (6):386-391.
    A learning health system seeks to establish a closer connection between clinical care and research and establishes new responsibilities for healthcare providers as well as patients. A new set of technological approaches in medication adherence monitoring can potentially yield valuable data within an LHS, and raises the question of the scope and limitations of patients’ responsibilities to use them. We argue here that, in principle, it is plausible to suggest that patients have a prima facie obligation to use novel adherence (...)
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  8.  42
    ‘I Did It For the Money’: Incentives, Rationalizations and Health.Moti Gorin & Harald Schmidt - 2015 - Public Health Ethics 8 (1):34-41.
    Incentive programs have been criticized due to concerns that extrinsic rewards can ‘crowd out’ intrinsic motivation, and also that such programs might exert a corrupting influence on those receiving the incentive. Jonathan Wolff has argued that while these worries are in some instances well grounded, incentives can also operate by liberating people from social pressures that stand in the way of their intrinsic motivations. We further develop Wolff's insight by articulating a framework for assessing such incentives and discussing several areas (...)
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  9.  83
    Stewardship, Paternalism and Public Health: Further Thoughts.Tom Baldwin, Roger Brownsword & Harald Schmidt - 2009 - Public Health Ethics 2 (1):113-116.
    Nuffield Council on Bioethics, London * Corresponding author: Nuffield Council on Bioethics, 28 Bedford Square, London WC1B 3JS, UK. Email: hschmidt{at}nuffieldbioethics.org ' + u + '@' + d + ' '//--> Abstract In November 2007, the Nuffield Council on Bioethics published the report Public Health: Ethical Issues . While the report has been welcomed by a wide range of stakeholders, there has also been some criticism. First, it has been suggested that it is not clear why, in developing its ‘stewardship (...)
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  10.  7
    COVID-19 Ventilator Rationing Protocols: Why We Need to Know More About the Views of Those with Most to Lose.Whitney Kerr & Harald Schmidt - 2021 - Journal of Medical Ethics 47 (3):133-136.
    Withholding or withdrawing life-saving ventilators can become necessary when resources are insufficient. With rising cases in many countries, and likely further peaks in the coming colder seasons, ventilator triage guidance remains a central part of the COVID-19 policy response. The dominant model in ventilator triage guidelines prioritises the ethical principles of saving the most lives and saving the most life-years. We sought to ascertain to what extent this focus aligns, or conflicts, with the preferences of disadvantaged minority populations. We conducted (...)
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  11.  46
    The Oxidative Stress Theory of Disease: Levels of Evidence and Epistemological Aspects.Pietro Ghezzi, Vincent Jaquet, Fabrizio Marcucci & Harald H. H. W. Schmidt - unknown
    The theory stating that oxidative stress is at the root of several diseases is extremely popular. However, so far, no antioxidant is recommended or offered by healthcare systems neither approved as therapy by regulatory agencies that base their decisions on evidence-based medicine. This is simply because, so far, despite many preclinical and clinical studies indicating a beneficial effect of antioxidants in many disease conditions, randomised clinical trials have failed to provide the evidence of efficacy required for drug approval. In this (...)
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  12.  21
    The 2008 Declaration of Helsinki — First Among Equals in Research Ethics?Annette Rid & Harald Schmidt - 2010 - Journal of Law, Medicine and Ethics 38 (1):143-148.
    The World Medical Association's Declaration of Helsinki is one of the most important and influential international research ethics documents. Launched in 1964, when ethical guidance for research was scarce, the Declaration comprised eleven basic principles and provisions on clinical research. The document has since evolved to a complex set of principles, norms, and directions for action of varying degrees of specificity, ranging from specific rules to broad aspirational statements. It has been revised six times in an effort to maintain its (...)
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  13.  17
    Obesity and Blame: Elusive Goals for Personal Responsibility.Harald Schmidt - 2013 - Hastings Center Report 43 (3):8-9.
  14. Sufficiency, Comprehensiveness of Health Care Coverage, and Cost-Sharing Arrangements in the Realpolitik of Health Policy.Govind Persad & Harald Schmidt - 2016 - In Carina Fourie & Annette Rid (eds.), What is Enough?: Sufficiency, Justice, and Health. New York: Oxford University Press. pp. 267-280.
    This chapter explores two questions in detail: How should we determine the threshold for costs that individuals are asked to bear through insurance premiums or care-related out-of-pocket costs, including user fees and copayments? and What is an adequate relationship between costs and benefits? This chapter argues that preventing impoverishment is a morally more urgent priority than protecting households against income fluctuations, and that many health insurance plans may not adequately protect individuals from health care costs that threaten to drop their (...)
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  15.  39
    Childhood Obesity and Parental Responsibilities.Harald Schmidt - 2008 - Hastings Center Report 38 (4):p. 3.
  16.  8
    The Missions of National Commissions: Mapping the Forms and Functions of Bioethics Advisory Bodies.Harald Schmidt & Jason L. Schwartz - 2016 - Kennedy Institute of Ethics Journal 26 (4):431-456.
    Ethics advisory groups, in various forms, have existed for at least 50 years in the United States and other countries. In science and biomedicine, four principal types of committees can be distinguished: policy-making and/or advisory committees, health professional association committees, health care ethics committees, and research ethics committees. Overall, these bodies have been of use to governments, policy makers, health care professionals, and the public in considering ‘what is ethical’ and ‘what is unethical’ in areas such as research involving humans (...)
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  17.  8
    Sequential Organ Failure Assessment, Ventilator Rationing and Evolving Triage Guidance: New Evidence Underlines the Need to Recognise and Revise, Unjust Allocation Frameworks.Harald Schmidt, Dorothy E. Roberts & Nwamaka D. Eneanya - 2022 - Journal of Medical Ethics 48 (2):136-138.
    We respond to recent comments on our proposal to improve justice in ventilator triage, in which we used as an example New Jersey’s publicly available and legally binding Directive Number 2020-03. We agree with Bernard Lo and Doug White that equity implications of triage frameworks should be continually reassessed, which is why we offered six concrete options for improvement, and called for monitoring the consequences of adopted triage models. We disagree with their assessment that we mis-characterised their Model Guidance, as (...)
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  18.  4
    “Autonomy and Solidarity: Bridging the Tensions”: Celebrating the 15th World Congress of Bioethics.Vardit Ravitsky, Lisa Eckenwiler & Harald Schmidt - 2022 - Bioethics 36 (5):479-481.
    Bioethics, Volume 36, Issue 5, Page 479-481, June 2022.
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  19.  29
    Managing Patient Expectations About Deidentification.Harald Schmidt & Shawneequa L. Callier - 2010 - American Journal of Bioethics 10 (9):21-23.
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  20.  6
    Breastfeeding, Personal Responsibility and Financial Incentives.Katelin Hoskins & Harald Schmidt - 2021 - Public Health Ethics 14 (3):233-241.
    Should financial incentives be offered to mothers for breastfeeding? Given the significant socioeconomic and sociodemographic differences in breastfeeding in the USA, researchers and policymakers are exploring the role of financial incentives for breastfeeding promotion with the objective of increasing uptake and reducing disparities. Despite positive outcomes in other health domains, the acceptability of financial incentives is mixed. Financial incentives in the context of infant feeding are particularly controversial given the complex obligations that characterize decisions to breastfeed. After situating the specific (...)
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  21.  23
    Lessons From Abroad.Harald Schmidt & Julia Kreis - 2009 - Hastings Center Report 39 (6):20-22.
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  22.  11
    Relation of the Narrowing of the Visual Field with an Increase in Distance to Manifest Anxiety.Harald-Edwin Schmidt - 1964 - Journal of Experimental Psychology 68 (4):334.
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  23.  9
    Crystallisation of Magnetron Sputtered Amorphous Si1−xCxfilms Studied by Grazing Incidence X-Ray Diffractometry.Wolfgang Gruber, Hessam Hadjiamini Najafabadi, Udo Geckle, Michael Bruns & Harald Schmidt - 2010 - Philosophical Magazine 90 (29):3855-3865.
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  24.  1
    Public Attitudes About Equitable COVID-19 Vaccine Allocation: A Randomised Experiment of Race-Based Versus Novel Place-Based Frames.Harald Schmidt, Sonia Jawaid Shaikh, Emily Sadecki, Alison Buttenheim & Sarah Gollust - 2022 - Journal of Medical Ethics 48 (12):993-999.
    Equity was—and is—central in the US policy response to COVID-19, given its disproportionate impact on disadvantaged communities of colour. In an unprecedented turn, the majority of US states used place-based disadvantage indices to promote equity in vaccine allocation (eg, through larger vaccine shares for more disadvantaged areas and people of colour). We conducted a nationally representative survey experiment (n=2003) in April 2021 (before all US residents had become vaccine eligible), that examined respondents’ perceptions of the acceptability of disadvantage indices relative (...)
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